Kirito Keita, Koike Michiaki, Noguchi Masaaki, Kizaki Masahiro, Katayama Naoyuki, Sugimoto Yuka, Dobashi Nobuaki, Usui Noriko, Komatsu Norio
Department of Hematology and Oncology, Yamanashi University.
Department of Hematology, Juntendo University Shizuoka Hospital.
Rinsho Ketsueki. 2018;59(6):669-674. doi: 10.11406/rinketsu.59.669.
The JAK2V617F mutation is the commonest major genetic mutation of myeloproliferative neoplasms (MPNs) and has been defined in the WHO diagnostic criteria for MPNs. However, there is still no approved in vitro diagnostic test kit available in Japan. We evaluated a JAK2V617F allele quantification kit (test method) in a prospective, multicenter clinical performance study involving patients with MPNs who were diagnosed with polycythemia vera, essential thrombocythemia, and primary myelofibrosis; healthy volunteers were also included in the analysis. Good correlation was observed between the allele burden determined using the test method vs. that determined using next-generation sequencing (NGS) in the patient group (r=0.998, y=1.071x-0.069; n=156). Furthermore, all allele burdens in the healthy group (n=54) were below the lower limit of the measurement range of the test method (0.042%). Our results confirmed that the test method could quantitatively measure the JAK2V617F allele burden in patients with MPN. Thus, the novel JAK2V617F allele quantification kit can be considered useful for the diagnosis of MPNs.
JAK2V617F突变是骨髓增殖性肿瘤(MPN)最常见的主要基因突变,已被纳入世界卫生组织(WHO)的MPN诊断标准。然而,日本仍没有获批的体外诊断试剂盒。我们在一项前瞻性、多中心临床性能研究中评估了一种JAK2V617F等位基因定量试剂盒(检测方法),该研究纳入了被诊断为真性红细胞增多症、原发性血小板增多症和原发性骨髓纤维化的MPN患者;分析中还纳入了健康志愿者。在患者组中,观察到使用该检测方法测定的等位基因负荷与使用下一代测序(NGS)测定的等位基因负荷之间具有良好的相关性(r=0.998,y=1.071x-0.069;n=156)。此外,健康组(n=54)的所有等位基因负荷均低于该检测方法测量范围的下限(0.042%)。我们的结果证实,该检测方法能够定量测量MPN患者的JAK2V617F等位基因负荷。因此,这种新型的JAK2V617F等位基因定量试剂盒可被认为对MPN的诊断有用。